KATHERINE WALLERIUS MD
NPI 1528696515
Otolaryngology - Plastic Surgery within the Head & Neck in Rochester, MN

Q: What is Katherine Wallerius's NPI number?

The NPI number for Katherine Wallerius is 1528696515. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Katherine Wallerius's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(303) 886-2222 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 7, 2025, Aug 12, 2021, Jul 14, 2021 and 4 more (7 updates tracked since 2020).

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About Katherine Wallerius Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE WALLERIUS MD (NPI 1528696515) is an individual plastic surgery within the head & neck provider in Rochester, Minnesota, licensed in Minnesota (69690) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2025).

NPPES Registry Identity

NPI1528696515

Entity TypeIndividualFemale

Primary Taxonomy207YX0007X

Provider Legal NameKATHERINE WALLERIUSCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address7850 Vance Dr Ste 225Arvada, CO 80003-2133 · (303) 431-8881 · Fax (855) 324-5322

Phone(303) 886-2222

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2025

Enumeration DateMarch 27, 2020

Last NPPES UpdateJuly 7, 20257 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1528696515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

Licenses✔ Licensed in MN · 69690✔ Licensed in MN · 30736

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

200 1ST ST SW, Rochester, MN 55905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Wallerius Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254755671

PECOS Enrollment IDI20250716000872

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services19 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

14 services13 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

12 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LEASURE MD

Internal Medicine